=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518540723
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TAYLOR J SORENSON DO
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/04/2021
-----------------------------------------------------
Last Update Date | 10/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 336 W 100 S
-----------------------------------------------------
City | SPANISH FORK
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84660-5881
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-798-7301
-----------------------------------------------------
Fax | 801-798-8513
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 336 W 100 S
-----------------------------------------------------
City | SPANISH FORK
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84660-5881
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-798-7301
-----------------------------------------------------
Fax | 801-798-8513
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 14211309-1204
-----------------------------------------------------
License Number State | UT
-----------------------------------------------------